POSTOPERATIVE RADIOTHERAPY FOR RECTAL AND RECTOSIGMOID CANCER - THE IMPACT OF TOTAL DOSE ON LOCAL-CONTROL

被引:4
作者
ALEMAN, BMP
LEBESQUE, JV
HART, AAM
机构
[1] The Netherlands Cancer Institute (Antoni van Leeuwenhoek Huis), Amsterdam
关键词
POSTOPERATIVE RADIOTHERAPY; RECTAL CANCER; RECTOSIGMOID CANCER; DOSE-EFFECT RELATION;
D O I
10.1016/0167-8140(92)90269-Z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Between 1984 and 1988, 206 patients were treated with pelvic radiotherapy after macroscopically complete surgery for rectal or (recto)sigmoid cancer. Depending on an estimation of the amount of small bowel in the intended treatment volume a total dose was, in general, 45 or 50 Gy. An additional boost of 10 Gy was given to 6 patients because of microscopically involved surgical margins. For tumor stage B a statistically significant trend (p = 0.017) for higher local control with higher total dose was observed comparing patients treated with a total dose of 45 Gy or less, with more than 45 Gy but less than 50 Gy or with a total dose of 50 Gy or more. This finding illustrates the impact of total dose on local control for postoperative radiotherapy for rectal carcinoma.
引用
收藏
页码:203 / 206
页数:4
相关论文
共 23 条
[1]   POSTOPERATIVE RADIATION-THERAPY FOR INCOMPLETELY RESECTED COLORECTAL-CARCINOMA [J].
ALLEE, PE ;
TEPPER, JE ;
GUNDERSON, LL ;
MUNZENRIDER, JE .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1989, 17 (06) :1171-1176
[2]  
BALSLEV IB, 1986, CANCER-AM CANCER SOC, V58, P22, DOI 10.1002/1097-0142(19860701)58:1<22::AID-CNCR2820580106>3.0.CO
[3]  
2-Q
[4]   POSTOPERATIVE ADJUVANT CHEMOTHERAPY OR RADIATION-THERAPY FOR RECTAL-CANCER - RESULTS FROM NSABP PROTOCOL R-01 [J].
FISHER, B ;
WOLMARK, N ;
ROCKETTE, H ;
REDMOND, C ;
DEUTSCH, M ;
WICKERHAM, DL ;
FISHER, ER ;
CAPLAN, R ;
JONES, J ;
LERNER, H ;
GORDON, P ;
FELDMAN, M ;
CRUZ, A ;
LEGAULTPOISSON, S ;
WEXLER, M ;
LAWRENCE, W ;
ROBIDOUX, A .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1988, 80 (01) :21-29
[5]   A PROSPECTIVE-STUDY OF TREATMENT TECHNIQUES TO MINIMIZE THE VOLUME OF PELVIC SMALL-BOWEL WITH REDUCTION OF ACUTE AND LATE EFFECTS ASSOCIATED WITH PELVIC IRRADIATION [J].
GALLAGHER, MJ ;
BRERETON, HD ;
ROSTOCK, RA ;
ZERO, JM ;
ZEKOSKI, DA ;
POYSS, LF ;
RICHTER, MP ;
KLIGERMAN, MM .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1986, 12 (09) :1565-1573
[6]  
GUNDERSON LL, 1974, CANCER-AM CANCER SOC, V34, P1278, DOI 10.1002/1097-0142(197410)34:4<1278::AID-CNCR2820340440>3.0.CO
[7]  
2-F
[8]  
HOSKINS RB, 1985, CANCER, V55, P61
[9]   DOSE-VOLUME CORRELATION IN RADIATION-RELATED LATE SMALL-BOWEL COMPLICATIONS - A CLINICAL-STUDY [J].
LETSCHERT, JGJ ;
LEBESQUE, JV ;
DEBOER, RW ;
HART, AAM ;
BARTELINK, H .
RADIOTHERAPY AND ONCOLOGY, 1990, 18 (04) :307-320
[10]   ALPHA BETA-VALUE AND THE IMPORTANCE OF SIZE OF DOSE PER FRACTION FOR LATE COMPLICATIONS IN THE SUPRAGLOTTIC LARYNX [J].
MACIEJEWSKI, B ;
TAYLOR, JMG ;
WITHERS, HR .
RADIOTHERAPY AND ONCOLOGY, 1986, 7 (04) :323-326